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Understanding the Wellbeing of the Oldest-Old in China: A Study of Socio-Economic and Geographical Variations Based on CLHLS Data

Author

Listed:
  • Lijuan Gu

    (Key Laboratory of Land Surface Pattern and Simulation, Institute of Geographic Sciences and Natural Resources Research, China Academy of Sciences, Beijing 100101, China)

  • Yang Cheng

    (Faculty of Geographical Science, Beijing Normal University, Beijing 100875, China)

  • David R. Phillips

    (Department of Sociology and Social Policy, Lingnan University, Hong Kong 999077, China)

  • Mark Rosenberg

    (Department of Geography and Planning, Queen’s University, Kingston, ON K7L3N6, Canada)

Abstract

Empirical studies of the socio-economic determinants of the wellbeing of the oldest-old in China including the role of geography and spatial factors are rare. This paper applies binary logistic regression analysis to data on the oldest-old aged 80 years old and higher from the 2011 Chinese Longitudinal Healthy Longevity Study (CLHLS). Socioeconomic determinants of the self-reported quality of life (QoL) and self-reported health (SRH) of the oldest-old population are explored, with special attention paid to the role of residence and region. The results indicate that, after controlling for individual demographic and health behavior variables, both economic status and social welfare have a significant effect on self-reported QoL and SRH. There are also significant differences in self-reported QoL among cities, towns and rural areas, with the oldest-old respondents living in Central rural, Western town and Western rural areas being significantly less likely to report good QoL, compared to the oldest-old living in Eastern cities. Significant differences in SRH exist among Eastern China, Western China and Northeastern China, with the oldest-old from Western towns being significantly less likely to report good health, and the oldest-old from Northeastern cities being significantly more likely to report good health than those from Eastern cities. The results of this study indicate that socioeconomic factors that explain self-reported QoL and SRH of the older population are in general factors that explain the self-reported QoL and SRH of the oldest-old cohorts. The interaction effect of residence and region matters more than each of the individual factors, in providing us with more detailed information on the role of geography in explaining QoL and health of the oldest-old. At a time when the oldest-old cohorts in China are at the beginning of their projected growth, these findings are vital for providing policy makers with more information on the urgency of making more geographically targeted policy to improve more effectively the self-reported QoL and SRH of the oldest-old population.

Suggested Citation

  • Lijuan Gu & Yang Cheng & David R. Phillips & Mark Rosenberg, 2019. "Understanding the Wellbeing of the Oldest-Old in China: A Study of Socio-Economic and Geographical Variations Based on CLHLS Data," IJERPH, MDPI, vol. 16(4), pages 1-15, February.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:4:p:601-:d:207120
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    References listed on IDEAS

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    Cited by:

    1. Yunxiang Wan & Leiwen Jiang, 2024. "Socioeconomic Differences in Happy Life Expectancy among Older Adults in China," Journal of Happiness Studies, Springer, vol. 25(7), pages 1-19, October.

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